Correct Answer: A

Rationale: The correct answer is A because documentation by nurses in various settings like home health, long-term care, and hospitals impacts reimbursement. Proper documentation ensures services provided are accurately reflected, influencing reimbursement. Choice B is incorrect as it refers to Meaningful Use requirements for EHRs, not reimbursement. Choice C is incorrect as a "near miss" relates to patient safety, not reimbursement. Choice D is incorrect because HIPAA focuses on privacy and security of patient information, not reimbursement.

Correct Answer: A

Rationale: The correct answer is A: Test the patient's hearing promptly. This is because before dispensing hearing aids, it is crucial to accurately assess the patient's hearing ability. Testing the patient's hearing promptly allows the healthcare professional to determine the type and degree of hearing loss, which is essential for selecting the appropriate hearing aids. Performing an otoscopy (choice B) may be part of the assessment but does not provide information on hearing ability. Measuring the width of the patient's ear canal (choice C) is not necessary for dispensing hearing aids. Referring the patient to his primary care physician (choice D) may delay the process of obtaining hearing aids and is not directly related to the responsibility of the health professional dispensing hearing aids.

Correct Answer: C

Rationale: The correct answer is C: Use parents rather than guardian. This is the most inclusive and respectful choice for LGBT patients as it acknowledges different family structures. LGBT individuals may have non-traditional family dynamics, so using "parents" instead of "guardian" is more appropriate. Option A is incorrect because not all LGBT individuals are in partnerships. Option B is incorrect as it assumes traditional gender roles. Option D is incorrect as not all LGBT individuals may identify with the terms "wife" or "husband."

Correct Answer: A

Rationale: The correct answer is A: Disturbed Body Image Related to Effects of Surgery. This nursing diagnosis is appropriate because the patient expresses concerns about feeling emasculated and a shell of a man after the surgery, indicating a disturbance in his body image. The patient's perception of how the surgery will affect his masculinity is a clear indication of body image disturbance. Choice B is incorrect because there is no mention of spiritual distress in the patient's statements. Choice C is incorrect as there is no indication that the patient will experience social isolation specifically related to the surgery. Choice D is incorrect as the patient's concerns are primarily related to his body image and not loneliness.

Correct Answer: B

Rationale: The correct answer is B: Application of compression stockings. Immediately after a wide excision of the vulva, compression stockings should be avoided as they can increase the risk of blood clots. Placing the patient in a low Fowler's position helps with comfort and promotes healing. Ambulation to a chair aids in preventing complications like pneumonia and deep vein thrombosis. Providing a low-residue diet is appropriate postoperatively to prevent straining during bowel movements.